Fatal amphetamine-associated cardiotoxicity and its medicolegal implications

Amphetamines are popular drugs of abuse, particularly among youngsters and at dance scenes. Cardiotoxicity (manifested as cardiomyopathy, acute myocardial infarction/necrosis, heart failure, or arrhythmia) after the recreational (mis)use of amphetamine and its synthetic derivatives has been documented but is rather rare. Amphetamine-related cardiac fatalities are even more rare. We present 6 cases of young persons who died unexpected after the chronic abuse of amphetamines. Death was not attributed to a lethal intoxication but to an acute myocardial necrosis, a right ventricle rupture, a cardiomyopathy, or an arrhythmia. Two of the deceased persons presented prior to their death to the emergency department, but their complaints were not considered (probably due to their young age) to be of cardiac origin. One case was a sport-related fatality where medical screening failed to identify the underlying cardiac pathology or the amphetamine abuse, and 1 case was a so-called idiopathic dilated cardiomyopathy where substance abuse was not considered by the treating physician. We think that amphetamine-associated cardiotoxicity is a rare but probably genuine entity that should be considered both in forensic and clinical/emergency medicine because of its potential medicolegal implications.     

Belief in a Just World,Causal Attributions,and Adjustment to Sexual Violence

What influence do the personal belief in a just world (i.e., the perception that one usually gets what one deserves) and different kinds of causal attributions have on adjustment to sexual violence? Using a sample of N = 62 victims of sexual aggression (mean age = 21.7) it was shown that respondents were better able to adjust to their experience of sexual violence the higher their personal belief in a just world. Moreover, the more respondents attributed their victimization to situational circumstances (external attributions) and the less they attributed their victimization to their character and personality (characterological self-attributions), the less they felt distressed by past victimization. The degree to which participants attributed their victimization to their own concrete behavior (behavioral self-attribution) was not related to their adjustment. Further analyses showed that the influence of the personal belief in a just world was mediated by the three attribution styles. Additionally, the adaptiveness of external attributions was moderated by participants’ just world belief.     

Social control of sexual assault by physicians and lawyers within the professional relationship: Criminal and disciplinary sanctions

Two penal sanctions may be imposed judicially on physicians and lawyers who are alleged to have sexually assaulted their patients and clients. Appellate opinions in each state reporting such a case were examined from 1980 through June, 1993, and generalizations from those opinions are reported here. In each profession, the administrative/disciplinary sanction imposed by the professional association may offer a stronger means of social control than does the criminal sanction. The efficacy of the disciplinary sanction, relative to the criminal, is attributable to the facts that the burden of proof is easier to meet and defenses commonly raised in sexual assault cases are not available in disciplinary proceedings. The significance of this pattern is discussed in relation to Black’s theory of the behavior of law, specifically with respect to the manner in which the style of social control is influenced by stratification, the relational distance between the parties, and organization. An earlier version of this article was presented at the National Conference on Ethics and the Professions, Gainesville, Florida, January 31, 1992. The author extends thanks to colleagues and the anonymous reviewers for their comments on an earlier draft.     

Medium‐Chain Acyl‐CoA Dehydrogenase Deficiency in Adulthood: A Potential Diagnosis in a Patient with Mental Status Changes Suspected of Drug Toxicity

Medium‐chain acyl‐CoA dehydrogenase (MCAD) deficiency is a rare but important component of the differential diagnosis for adults with a history of premortem mental status changes and the postmortem finding of hepatic steatosis. This case report describes a 30‐year‐old white man who, following a period of nausea and vomiting, was admitted to the hospital with sudden mental status deterioration followed rapidly by clinical deterioration and death. Treating physicians in this case suspected acute illicit drug toxicity with synthetic cathinones based on social history. Clinicians and medical examiners should be aware that the presentation, signs, and symptoms described may indicate an underlying inborn error of metabolism such as MCAD deficiency and take action accordingly.     

The specter of racism: exploring White racial anxieties in the context of policing

The connection between policing and whiteness remains an undertheorized area of police studies. In this article, I explore ordinary policing behaviors through the lens of critical whiteness studies in an effort to understand how White police officers actively make, or fail to make, meaning of race in the context of their work. Drawing on ethnographic work with three police departments in the Midwest, I describe the racial anxieties and insecurities White officers express at the possibility of being viewed as engaging in racializing behaviors. Of particular interest is the power of the crime control focus orienting everyday policing practice in displacing attention from the many ways race, and particularly whiteness, matters in policing. I conclude by discussing the implications this line of inquiry holds for making discussions about the role of white privilege in policing more productive.     

Windows of opportunity: Lead poisoning prevention,housing affordability,and energy conservation

Abstract

We used housing demolition and window replacement rates to forecast prevalence trends for childhood lead poisoning and lead paint hazards from 1990 to 2010 for the President's Task Force on Environmental Health Risks and Safety Risks to Children. The mid‐point of that forecast has now been validated by national blood lead data and the 1998–2000 National Survey of Lead and Allergens in Housing.

The validation of the task force model and new analysis of these survey data indicate that window replacement explains a large part of the substantial reduction in lead poisoning that occurred from 1990 to 2000. A public‐private effort to increase window replacement rates could help eliminate childhood lead poisoning by 2010. This effort would also improve home energy efficiency and affordability, in addition to reducing air pollution from power plants, and a broader initiative could reduce other housing‐related health risks as well.     

Ability to Face Threats of Cyberterrorism: Factors Associated with Organizational Competence

ABSTRACT

Acts of cyberterrorism represent potential, significant negative effects to property, infrastructure systems, security, and an overall way of life. These disruptions garner significant attention from government and the public. Managers concerned by threats of cyberterrorism should understand the components that enhance organizational competence so that doubt and fear do not overtake organizational members when faced with such extreme events. Although organizational competence is important in everyday organizational behaviors, the presence of confidence in organizational abilities is especially critical when operating in the midst of the ambiguity and destructive disruptions associated with cyberterrorist threats. We empirically assess three factors associated with competence for organizations facing simulated cyberterror attacks. Our results support the relationship between two of these factors—organizational identification and deference to expertise—with organizational competence. These findings contribute to research concerning the antecedents critical to organizational competence and also add to the growing research on cyberterrorism.     

Dynamics of Unfree Labour in the Contemporary Global Economy

This short introduction to the symposium sets the context for the collection of articles, locating them in debates about labour conditions in the global economy. It outlines the two central questions which animate the symposium. First, what forms do unfree labour take in the contemporary global economy, and what are the implications for the most vulnerable workers in diverse contexts? Second, which processes, conditions and dynamics generate and facilitate unfree labour, and which theoretical and analytical perspectives do we need in order to understand them? It summarises some of responses to these questions which emerge in the collected articles, and highlights their contributions to the task of advancing fresh ways of thinking about unfree labour.